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Questions 164

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Question 1 of 5

Following a stroke, an elderly client develops ptosis. When assessing the client, the nurse will note:

Correct Answer: A

Rationale: Ptosis or drooping of the eyelid can occur as the result of a stroke or Bell's palsy. Answer B refers to entropion, and answer C refers to ectropion, so they are incorrect. Answer D refers to chalazion, so it's incorrect. Answers B, C, and D are incorrect because they do not relate to ptosis.

Question 2 of 5

The pediatric nurse receives report on 4 clients. Which client should the nurse see first?

Correct Answer: B

Rationale: The 6-year-old post-bronchoscopy is at risk for airway complications and requires immediate assessment.

Question 3 of 5

Which of the following meals would be best tolerated by the client receiving Leukeran?

Correct Answer: B

Rationale: Leukeran can cause nausea, so bland, cool foods like pea soup, fruit slush, and ice cream are better tolerated than heavy or acidic meals.

Question 4 of 5

A nurse is preparing for a medical relief trip to West Africa and is concerned about a disruption in circadian rhythm from traveling across several time zones. Which supplement might help synchronize the body to environmental time?

Correct Answer: C

Rationale: Melatonin helps regulate sleep-wake cycles and can mitigate jet lag.

Question 5 of 5

The nurse is observing continuous cardiac monitoring for assigned clients. Which of the following cardiac rhythms would immediate follow-up?

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Correct Answer: C

Rationale: Ventricular fibrillation (VF) is a lethal dyshythmia characterized by disorganized electrical activity in the heart ventricles. Because
of this erratic electrical activity, the heart muscles lose the ability to contract, resulting in loss of blood flow and pulse (ie, cardiac
arrest). Nurses who identify a client with VF should immediately check the pulse, start CPR, and prepare the client for defibrillation

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